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非中性粒细胞缺乏患者侵袭性真菌病的诊断标准及其变迁

施毅

中国感染控制杂志2025,Vol.24Issue(5):577-583,7.
中国感染控制杂志2025,Vol.24Issue(5):577-583,7.DOI:10.12138/j.issn.1671-9638.20257381

非中性粒细胞缺乏患者侵袭性真菌病的诊断标准及其变迁

Diagnostic criteria and their evolution for invasive fungal disease in non-neutropenia patients

施毅1

作者信息

  • 1. 南京大学医学院附属金陵医院呼吸与危重症医学科,南京 210002
  • 折叠

摘要

Abstract

Invasive fungal disease(IFD)is a group of serious infectious diseases caused by fungi.In recent years,its incidence has shown an upward trend.Traditionally,the diagnostic criteria for IFD primarily target patients with neutropenia.However,in clinical practice,more and more IFD patients do not have neutropenia as their underlying disease.Instead,they are non-neutropenic patients with high-risk factors such as chronic obstructive pulmonary di-sease(COPD),severe viral pneumonia,and diabetes,etc.Their clinical features,imaging manifestations,laboratory tests,and diagnostic criteria are significantly different from those of neutropenic patients.This article comprehen-sively expounds the diagnostic criteria and their evolution for IFD in non-neutropenic patients,especially highligh-ting the differences from neutropenic patients,so as to provide a reference for the correct clinical diagnosis of IFD.

关键词

侵袭性真菌病/中性粒细胞缺乏/非中性粒细胞缺乏/诊断标准

Key words

invasive fungal disease/neutropenia/non-neutropenia/diagnostic criteria

分类

临床医学

引用本文复制引用

施毅..非中性粒细胞缺乏患者侵袭性真菌病的诊断标准及其变迁[J].中国感染控制杂志,2025,24(5):577-583,7.

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